Name * First Name Last Name Email * What interests you about Life Coaching? * What goal do you have for yourself? * What could we accomplish together in ~3 months? ~6 months? 1 year? (You don't have to answer all) What do you think is holding you back from achieving your goals right now? Current Happiness Scale * 1 - not at all, 5 - living my dream 1 2 3 4 5 Dream Happiness Scale * 1 - not at all, 5 - living my dream 1 2 3 4 5 What do you relate to? Check All That Apply I struggle with unconditional self love I struggle with being my own best friend I think I'm in a situationship and can't stop going back I feel like my long-term relationship isn't moving any which way I feel misunderstood No matter what I do, I don't feel like I'm doing enough I'm feeling lost in the crowd I feel like I can't relax I second guess everything I think We got engaged, but we aren't planning the wedding I feel like my friends don't like me College isn't what I thought it'd be Graduating from college and entering real life is not what I thought it'd be Woohoo! Thanks for applying to be my new best friend! What a life am I right. I can’t wait to review and I’ll get back to you as soon as possible. Now just imagine everything we can talk about, free of judgement. From TV Shows, to pop culture, to your fears, and most beautiful parts of yourself, every session is designed by you!